1. Building a Solid Foundation for Public Health Practice: Skills Enhancement for Public Health Community Health Nurses of Canada 4 th National Conference Pre-conference Workshop June 16 th, 2010

2. Learning from SARS: Renewal of Public Health in Canada (2003) “No attempt to improve public health will succeed that does not recognize the fundamental importance of providing and maintaining in every local health agency across Canada an adequate staff of highly skilled and motivated public health professionals. Our national aim should be to produce a cadre of outstanding public health professionals who are adequately qualified and compensated, and who have clear roles, responsibilities and career paths.” 2003

3. Workforce Challenges Lack of: qualified public health professionals in Canada, aging workforce & uneven distribution of existing practitioners (especially in rural & remote areas) common measure & data to quantify the gap public health practitioner ‘surge’ capacity to respond emergencies skills development & training opportunities for existing public health practitioners

4. National Response to Strengthen the Public Health Workforce Federal/Provincial/Territorial Advisory Groups Develop pan-Canadian strategies to strengthen public health capacity Goals of the Public Health Human Resources Strategy 2 Components: Develop public health core competencies common to all public health professionals Enhance knowledge & skills among the public health workforce

6. Core Competencies for Public Health in Canada Set of essential skills, knowledge & attitudes necessary for the broad practice of public health Basic building block to develop the workforce Independent of discipline & program

7. Core Competencies for Public Health in Canada: Release 1.0 36 statements organized under 7 categories: 1.Public Health Sciences 2.Assessment & Analysis 3.Policy & Program Planning, Implementation & Evaluation 4.Partnerships, Collaboration & Advocacy 5.Diversity & Inclusiveness 6.Communication 7.Leadership

8. Current Activities Build awareness & knowledge Develop tools & resources to support use –Core Competencies for Public Health in Canada Orientation Module (www.corecompetencies.ca) –Tools to demonstrate Core Competencies in practice –Performance assessment & management tools for individual practitioners & organizations –Skills Online continuing education program

9. Current Activities (con’t) Evaluation plan Exploring use & integration of Core Competencies within Public Health Agency of Canada Working with public health disciplines to develop discipline-specific competencies pan-Canadian Environmental Scan to explore ways Core Competencies are being used & integrated –Local/regional public health organizations, & provincial/territorial governments and associations (completed) –Master of Public Health programs (completed) –Schools of environmental health (completed) –Schools of nursing (planned for 2010/11)

10. Recommendations from Environmental Scan Focus efforts on formal endorsement & adoption of Core Competencies Continue to educate about Core Competencies at all levels of public health Promote practice-based learning approaches Equip organizations with human resources, tools & methods that support integration of competencies into practice

11. Recommendations from Environmental Scan (con’t) Promote & support “workforce driven” competency development activities Encourage & support competency-based mentoring & coaching Continue integration of core & discipline-specific efforts through collaborative projects and partnerships Use networks to create ‘gathering spaces’ for shared learning & collaboration Support public health leadership at all levels

12. How do we acquire & maintain the Core Competencies for Public Health in Canada: Release 1.0?

13. Do you think you can buy me some competencies too, Dad?

14. The role of continuing education…. Skills Online

15. Skills Online Life-Long Learning Like other health-related fields, public health knowledge & practices continually evolve Continuing education is required to maintain high levels of relevant knowledge & skills to practice effective public health

16. Continuing education opportunities for public health practitioners across Canada not readily available

17. What is Skills Online? Internet-based continuing professional development program for front line public health practitioners Facilitated modules in English & French Offered at no cost to public health professionals since 2002 Close to 5,500 individuals have completed one or more modules Just over 8,000 modules have been completed

18. Module Delivery Format National teams ~ 15 interprofessional learners from across Canada Facilitated modules - learners have access to an online facilitator with content & facilitation training answer content-related questions encourage discussion provide feedback on learning exercises guide learners through the material

19. Skills Online’s Key Features Relevant, timely & practical Canadian content Easily accessible through web browser Low cost – no charge; need own hardware & software Help Desk for technical support Teams of 15-20 learners led by experienced, trained facilitator for content support 8 weeks to complete a module Modules range from ~ 25-35 hours in length Offered 3 times per year – Fall, Winter & Spring Based on principles of adult learning

20. Pre- & Post-test for each module.

21. Self Assessments with instant feedback.

22. Links to external sources of information.

23. Interviews with Public Health Practitioners.

24. Discussion forum - share ideas with other learners from across Canada.

25. Assignments - apply learning to practice.

26. Core competency componentsModule content examples Identify relevant & appropriate data & sources of information Category 2: Assessment & Analysis vital statistics, census, administrative, Internet sites, notifiable diseases, registries Collect accurate quantitative primary &/or secondary data Category 2: Assessment & Analysis examples of methods, tools being used in the field Provide health status, demographic, statistical, programmatic & scientific information to professional & lay audiences Category 6: Communication organizing & displaying data, e.g., selecting & constructing tables, charts, graphs, maps A public health practitioner is able to… Content mapped to Core Competencies.

27. Interactive Demonstration Skills Online

28. METHOD Basic Biostatistics Principles & Practices of Public Health Survey Methods MOVING DATA TO ACTION Communicating Data Effectively Evidence-Based Planning APPLIED PUBLIC HEALTH Outbreak Investigation & Management Applied Epidemiology : Injuries Epidemiology of Chronic Diseases INTRODUCTION TO: ONLINE LEARNING EPIDEMIOLOGY Basic Epidemiological Concepts Measurement of Health Status Descriptive Epidemiological Methods SURVEILLANCE INFORMATION MANAGEMENT

29. Skills Online Modules MODULES AVAILABLE Basic Epidemiological Concepts Introduction to Surveillance Measurement of Health Status Communicating Data Effectively Epidemiologic Methods Introduction to Biostatistics Outbreak Investigation & Management Epidemiology of Chronic Diseases Applied Epidemiology: Injuries Intro to Surveillance MODULES COMING Very SOON Intro to Public Health Intro to Literature Searching MODULES COMING SOON Evidence-based Public Health Planning for Public Health MODULES In - DEVELOPMENT Survey Methods Privacy & Confidentiality for Public Health

30.  Develop module content  Develop module framework  Form advisory group  Conduct environmental scan  Conduct needs assessment  Develop project plan  Process overview Year 1  Pilot  Develop prototype Learning Mgt. System  Storyboard Year 2  Test  Content Review  Evaluate Ongoing Maintenance Skills Online Module Development

32. Benefits Individual Acquired knowledge/developed CC shared & applied Increased… - perspective/enhanced appreciation – breadth, roles & work - understanding/appreciation – surveillance (data collection & use) - understanding of terminology & concepts - critical thinking, problem solving, creativity… - willingness to collaborate - practitioners' desire for & confidence in pursuing further education

33. Benefits Organizational Skilled practitioners Consistent, common baseline understanding of PH principles Improved decision making/planning abilities Improved communication within & across teams Increased levels of confidence of staff translating into increased contributions at team meetings HR policies/practices

34. Recognition, Endorsement & Support Certificate from Public Health Agency of Canada & the Institut national de santé publique du Québec after successful completion of each module Endorsed by professional organizations & associations Support from provinces/territories & local organizations University recognition, e.g. Master of Public Health programs

35. For More Information Core Competencies for Public Health in Canada www.phac-aspc.gc.ca/core_competencies Skills Online www.phac-aspc.gc.ca/skills